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Suturing and Closure

Last Updated: July 10, 2019

Introduction

To develop good suturing techniques, the surgeon must be familiar with basic details of the suture types and needle and suture sizes. The best techniques will involve the appropriate selection of suture size and needle type for the anticipated tissue closure.

The discussion that follows includes an overview of available suture sizes, a brief discussion of suture types, and an overview of suture needles. After this overview, a step-by-step guide to appropriate closure techniques is provided.

The Suture

“Suture” can be generally defined as a stranded material used to approximate 2 tissues. Sutures have been used since 2000 BC for the purposes of wound closure. Modern-era advances have brought a wide variety of suture materials to the operating room, each with multiple advant...